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How to be Brave; Program to treat specific phobia in children and Prevent anxiety and depression in adolescence and adulthood.

A Randomised Controlled Trial comparing one-session therapy (Active version) for childhood specific phobia vs. waitlist control (Control version).

Status
Withdrawn
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12613001150730
Enrollment
60
Registered
2013-10-15
Start date
2013-11-18
Completion date
2013-11-18
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

After completing the online managing stress course and OST children will be skilled in mastering irrational fears and will have improved mental health and wellbeing. They will be better equipped to confront difficult situations in school and in play. Evidence strongly points to the prevention of the onset of anxiety and depressive disorders in adults through the treatment of fears in children (Kessler et al., 2011). The rationale for this study is to demonstrate the efficacy of identifying children in primary school with specific phobia and using early intervention (OST) to reduce the risk of anxiety and depressive disorders later in adolescence and adulthood. The main hypothesis is: Participants who were randomised and attended the OST will have reduced fears (lower BAT scores) after treatment compared to the waitlist control group.

Interventions

This One Session Treatment is conducted over one 3-hour session and involves the child gradually facing their fears of falling from heights or small enclosed spaces (‘graded exposure’). The child and therapist build a step ladder of activities/events ranging from the least anxiety provoking to the most. The therapist models how to face the feared object or situation step by step, and then supports the child to replicate the exposure. Research suggests this treatment is effective. OST is carried

This One Session Treatment is conducted over one 3-hour session and involves the child gradually facing their fears of falling from heights or small enclosed spaces (‘graded exposure’). The child and therapist build a step ladder of activities/events ranging from the least anxiety provoking to the most. The therapist models how to face the feared object or situation step by step, and then supports the child to replicate the exposure. Research suggests this treatment is effective. OST is carried out by a trained and qualified clinical psychologist. Only phobias of falling from heights and enclosed spaces will be addressed in this trial. OST will be carried out at the end of the current school term in which the participant consents to participate. The treatment will be run in a small group of other children and parents. Participants with a fear of heights will be treated as one group and participants with a fear of enclosed spaces will be treated as a separate group. Research suggests that group CBT for children is effective as they are familiar with learning in a group environment (school) and are able to support and celebrate each other's achievements.

Sponsors

Bupa
Lead SponsorCommercial sector/Industry

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
8 Years to 11 Years
Healthy volunteers
Yes

Inclusion criteria

Must have completed the THIS WAY UP Schools online stress management course at school. Must be in years 5 or 6 of primary school, Must score highly on the questions taken from the Fears Survey Schedule in Children- Revised (FSSC-R) Must state that their fear identified by the FSSC-R stops them from doing what they would like to do

Exclusion criteria

Nil

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026